Individual
GRACE ELLA KATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
502 LAGRANGE ST, SOUTH HAVEN, MI 49090-1895
(269) 921-8971
Mailing address
502 LAGRANGE ST, SOUTH HAVEN, MI 49090-1895
(269) 921-8971
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
02/27/2017
Last updated
02/27/2017
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